Feb 23, 2015, 4:27 PM, Posted by
Alonzo L. Plough
Alonzo Plough, PhD, MPH, is vice president, Research-Evaluation-Learning and chief science officer for the Robert Wood Johnson Foundation. Read more from his series.
Childhood obesity is a tremendous threat to the current and future health of our young people. Compared with their healthy-weight peers, obese children face a higher risk for serious health problems, miss more school, have greater psychological stress, and are more likely to become obese as adults. If we don’t do something to reverse this epidemic, the nation’s current generation could be the first in history to live sicker and die younger than their parents’ generation. This is why RWJF recently pledged $500 million over the next 10 years to support strategies aimed at helping all children in the United States grow up at a healthy weight. This new funding increases our investment in preventing childhood obesity to more than $1 billion—the largest commitment we have ever made on a single issue.
We are in it for the long haul, and we have already seen signs of progress. Research published last year showed obesity prevalence among 2 to 5 years old dropped by approximately 40 percent in eight years. But nearly one-third of children and adolescents in the U.S. are still obese or overweight, and more than 25 million are at risk for high blood pressure or Type 2 diabetes because of their weight.
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Jan 23, 2015, 9:00 AM, Posted by
Erin D. Maughan, PhD, MS, RN, APHN-BC, is director of research at the National Association of School Nurses and a Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellow (2013 Cohort).
If we want to create a Culture of Health in America, a 2015 priority must be to focus on ways to break down the barriers that separate us and keep us from being as effective and efficient as possible. Currently, health care systems, education, housing, and public health work in siloes; they are funded in siloes, and workers are trained in siloes. Yet, people’s concerns and lives are not siloed and a community health culture/system cannot be either. One of the places to begin coordinated cultural change is in schools.
Schools are a smart choice to target because nearly 98 percent of school-age children, in their formative years, attend school and schools provide access to families and neighborhood communities. The Department of Education’s Full-Service Community Schools Program and Whole School, Whole Child, Whole Community Initiative reminds us that, in order for children to be educated, they need to be healthy and there must be a connection between school and community.
There are many school health initiatives in place, such as healthy food choices, physical fitness, healthy policies, school health services, community support, and after-school programs. The potential is there—but so are the siloes. But when schools are appropriately staffed with school nurses, the nurses help break down the siloes; that is because school nurses are extensions of health care, education, and public health and thus can provide or coordinate efforts to ensure a holistic, resource efficient, healthy school community.
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Sep 2, 2014, 10:59 AM, Posted by
A school lunchroom full of hundreds of young children, happily slurping up ... salad.
If you’re someone who’s ever struggled to get kids to eat their vegetables, it sounds like an impossible dream.
But this is reality at Anne Frank Elementary School, the largest in Philadelphia, with 1,200 students from kindergarten through fifth grade. Serving salads was the brainchild of Anne Frank principal Mickey Komins, who had the salads brought in from a local high school cafeteria.
Along with the after-school Zumba and kickboxing classes that the school now sponsors for kids, parents, and staff, healthier food offerings are among the innovations that earned Anne Frank an award from the Alliance for a Healthier Generation. The Alliance, a Robert Wood Johnson Foundation grantee, is a nonprofit founded by the American Heart Association and the Clinton Foundation to help stem the tide of childhood obesity. It’s at the vanguard of a growing national movement to turn schools into healthier environments, and offer kids fundamental lifelong lessons about maintaining their health.
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Jul 1, 2014, 10:33 AM, Posted by
The globby tears, the quavering voice, the pudgy outstretched hands, the plaintive word “please.” They all come to mind as vividly as if it were yesterday.
Our daughter Sarah was (and still is, at 27) a good soul, but like every small child, she had her moments. And when those “moments” more or less coincided with bedtime, the worst punishment we could mete out was to refuse to read her bedtime stories—or “sturries,” as she called them. We would kiss her good night, and adjourn to the living room, there to sit and look at each other guiltily as our little girl suffered the tortures of the damned.
We listened to that heartbreaking little plea, “But I HAVE to have sturries!” echoing down the hall, and our hearts would break, too. We felt like the worst parents ever
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May 7, 2014, 4:38 PM, Posted by
We’re seeing signs of promise in the effort to reverse the childhood obesity epidemic in the United States. Overall childhood obesity rates have leveled off—and they’ve even declined in some regions and among some age groups.
But it’s far too early to declare victory, writes RWJF President and CEO Risa Lavizzo-Mourey, MD, in a new post on the professional social networking site LinkedIn. The rate of obesity among U.S. teens, she notes, stands at a “shocking 21 percent, and Hispanic and African-American youth still have higher obesity rates than their white and Asian peers.”
To make more progress, Lavizzo-Mourey says, we need more people and organizations in the fight—particularly the business community.
So what more can be done? On Thursday, May 8, Lavizzo-Mourey and influential leaders from throughout the nation—including many from the business community—met to consider innovative approaches in a forum, “Closing the Gap in Childhood Obesity,” sponsored by RWJF and the Clinton Health Matters Initiative, in collaboration with Grantmakers in Health. The forum focused on developing solutions to the inequities that exist in childhood health and childhood obesity.
Apr 8, 2014, 9:42 AM, Posted by
Adam L. Sharp
Adam L. Sharp, MD, MS is an emergency physician and recent University of Michigan Robert Wood Johnson Foundation Clinical Scholar (2011-2013). He works for Kaiser Permanente Southern California in the Research and Evaluation Department performing acute care health services and implementation research.
Violence is a leading cause of death and injury in adolescents. Recent studies show effective interventions can prevent violent behavior in youth seen in the Emergency Department (ED). Adoption of this type of preventive care has not been broadly implemented in EDs, however, and cost concerns frequently create barriers to utilization of these types of best practices. Understanding the costs associated with preventive services will allow for wise stewardship over limited health care resources. In a recent publication in Pediatrics, "Cost Analysis of Youth Violence Prevention," colleagues and I predict that it costs just $17.06 to prevent an incident of youth violence.
The violence prevention intervention is a computer-assisted program using motivational interviewing techniques delivered by a trained social worker. The intervention takes about 30 minutes to perform and was evaluated within an urban ED for youth who screened positive for past year violence and alcohol abuse. The outcomes assessed were violence consequences (i.e., trouble at school because of fighting, family/friends suggested you stop fighting, arguments with family/friends because of fighting, felt cannot control fighting, trouble getting along with family/friends because of your fighting), peer victimization (i.e., hit or punched by someone, had a knife/gun used against them), and severe peer aggression (i.e., hit or punched someone, used a knife/gun against someone).
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Feb 28, 2014, 10:55 AM, Posted by
Nearly seven years ago, this Foundation made a major commitment to reversing the nation’s childhood obesity epidemic. We had many reasons, but chief among them was the decades of data showing more and more young people in America facing greater challenges to growing up healthy. We, and many others, knew it was an unsustainable path. So we pledged $500 million to reverse the trend, and joined forces with a wide range of partners to address the many different facets that an effort of this magnitude would require. Big challenges require big commitments.
This week has been one of the most exciting in the last seven years. Research published Tuesday shows a major decline in the obesity rate among children ages 2 to 5 over the last eight years. This is a very real sign of progress, because we know that preventing obesity at an early age is likely to help children maintain a healthy weight into adulthood. The significant decline measured by researchers with the Centers for Disease Control and Prevention follows progress we’ve started to see over the last 18 months.
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Jan 6, 2014, 9:00 AM, Posted by
Katherine A. Auger
Katherine A. Auger, MD, MSc, a pediatrician in the Division of Hospital Medicine, Department of General Pediatrics at Cincinnati Children’s Hospital Medical Center, is an alumna of the Robert Wood Johnson Foundation (RWJF) Clinical Scholars program.
A 2006 recommendation from the Centers for Disease Control and Prevention (CDC) that all adolescents receive vaccines for pertussis, also known as whooping cough, is having a positive impact. A new study that I led shows it is associated with lower rates of infant hospitalizations for the respiratory infection than would have been expected had teens not been inoculated.
The study, published in Pediatrics, found that the CDC recommendation led not only to a significant increase in vaccination rates among teens, but also to a reduction in severe pertussis-related hospitalizations among infants, who often catch the disease from family members, including older siblings.
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